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Reimbursement thresholds

The more expenses that you have for reimbursable medicine, the more reimbursement you will receive within a period of one year (the reimbursement period).

But the size of reimbursement also depends on whether you are younger or older than 18 at the start of the reimbursement period.

The thresholds in table below are effective from 1 January 2012 to 31 December 2012.

The one-year reimbursement period starts when you buy reimbursable medicine for the first time after the expiry of the preceding period.

Table 1 below shows the relationship between the size of reimbursement and your total annual expenditure for reimbursable medicine before deduction of reimbursement.

Reimbursement thresholds in 2012

Annual personal expenditure on reimbursable medicine before deduction of reimbursement

Reimbursement for persons
over the age of 18

Reimbursement for persons
under the age of 18

DKK 0-890

0%

60%

DKK 890-1,450

50%

60%

DKK 1,450-3,130

75%

75%

In excess of DKK 3,130

85%

85%

Threshold for reimbursement for the chronically ill (to be applied for by a doctor)

Adults: In excess of DKK 16,896 (patient's co-payment= DKK 3,655)

100%

Children and adolescents under the age of 18: In excess of DKK 20,830 (patient's co-payment= DKK 3,655)

100%

Example

Your previous reimbursement period expires on 25 January 2012. The next time you buy medicine eligible for reimbursement is 15 June 2012, which marks the beginning of your new reimbursement period. The reimbursement period therefore expires on 14 June 2013.

Your medicine purchases in a reimbursement period could look like this if you are older than 18.

Date of purchase

Reimbursement price

Balance before purchase

Balance after purchase

Reimbursement

15.06.2012

500.00

0.00

500.00

0.00

27.09.2012

600.00

500.00

1100.00

105.00

02.12.2012

285.00

1100.00

1385.00

142.50

23.12.2012

1000.00

1385.00

2385.00

733.75

 

Updated 03 May 2012